A patient may develop a vagal neuropathy following an upper respiratory illness.


Clinical features:

(1) The patient has a history of recent upper respiratory infection (URI) consistent with a viral infection.

(2) There is no evidence of a vagal neuropathy prior to the URI.

(3) Signs and symptoms of a vagal neuropathy appear after the URI.

(4) Most patients have been middle-aged women.

(5) No other diagnosis explains the findings better.


Presenting signs and symptoms may include:

(1) breathy dysphonia

(2) globus

(3) vocal fatigue

(4) effortful phonation

(5) odynophonia

(6) cough

(7) dysphagia


Patients may have:

(1) vocal cord paresis

(2) laryngopharyngeal reflux

(3) neuropathic pain (throat or neck)


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